Provider Demographics
NPI:1922542133
Name:D & P MEDICAL CONSULTING LLC
Entity Type:Organization
Organization Name:D & P MEDICAL CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMELIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-292-9508
Mailing Address - Street 1:21321 E OCOTILLO RD STE 121
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-5994
Mailing Address - Country:US
Mailing Address - Phone:480-987-9740
Mailing Address - Fax:
Practice Address - Street 1:21321 E OCOTILLO RD STE 121
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-5994
Practice Address - Country:US
Practice Address - Phone:480-987-9740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty